论文部分内容阅读
通常食管癌一经确诊,多属相当晚期而失去了治愈的机会,90％以上的治疗是属于姑息性的。食管癌的预后虽极悲观,但对胸外科医生来说,如何设法缓解食管癌患者症状,并尽可能迅速而持久地恢复其正常吞咽仍是一个重要的课题。作者等取两组临床资料相类似而分别作放射治疗及手术治疗的食管癌病例作对比:第Ⅰ组是加拿大多伦多市Princess Margaret医院146例(1969～1975年)接受所谓根治性的放射治疗的患者,视具体病情给予总量4,000～6,000拉德,历时3～5周。第Ⅱ组104例均在多伦多市总医院(1971～1977)进行手术治疗。手术方式主要有二:(1)对食管下段或贲门部肿瘤,取左侧胸腹
Usually, once the esophageal cancer is diagnosed, many of them are quite advanced and have lost the chance of cure. More than 90% of the treatments are palliative. Although the prognosis of esophageal cancer is extremely pessimistic, for thoracic surgeons, how to try to relieve the symptoms of esophageal cancer patients and restore their normal swallowing as quickly and as long as possible is still an important issue. The authors compared two cases of esophageal cancer with similar clinical data and performed radiotherapy and surgery respectively: Group I was 146 cases (1969-1975) of Princess Margaret Hospital, Toronto, Canada received so-called radical radiation therapy. Patients, depending on the specific conditions given a total of 4,000 to 6,000 rads, lasted 3 to 5 weeks. The 104 patients in Group II received surgical treatment at the General Hospital of Toronto (1971-1977). There are two main surgical methods: (1) For the lower esophageal or cardia tumor, take the left chest and abdomen